Provider Demographics
NPI:1164501912
Name:NEW HORIZON INTERATED CARE, ICF-DD HOME INC.
Entity Type:Organization
Organization Name:NEW HORIZON INTERATED CARE, ICF-DD HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:LIM
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:714-229-1730
Mailing Address - Street 1:PO BOX 4446
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92842-4446
Mailing Address - Country:US
Mailing Address - Phone:714-229-1730
Mailing Address - Fax:714-229-1731
Practice Address - Street 1:8812 ATHENS CT
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6204
Practice Address - Country:US
Practice Address - Phone:714-229-1730
Practice Address - Fax:714-229-1731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities